Remarks | Patterns of Serum Protein Electrophoresis Electrophoretic Fractions | Pattern | Total Protein | Album | A1 | A2 | Beta | Gamma | Normal | N | N | N | N | N | N | Hemolysis | | | | | beta brid. | | Protein losing syndromes | D | D | N,E | N,E | N,D | D,N,E | Nephrotic syndrome | D | D | N | E | N | N,D | Hypogammaglobulin | N,D | N | N | N | N | D | Agammaglobulinemia | N,D | N | N | N | N | Absent | Diffuse hepatocellular degeneration | N,D | D | D | D | D | N,E | Polyclonal gammophathy | N,E | N,D | N | N | N | E | Chronic inflammatory response | N,E | N,D | N,E | E | N | E | Acute inflammatory response | N | N,D | E | E | N | N,D | Subacute inflammatory response | N | N,D | N | E | N | N | Hepatic cirrhosis | D,N,E | D | N | N,D | | gamma bridging | Hypo-alpha-1- globulinemia | N | N | D | N | N | N | Monoclonal gammopathy (gamma) | N,E | N,D | N | N | N | (M- spike) | Monoclonal gammopathy (beta) | N,E | N,D | N | N | (M- spike) | N,D | Biclonal gammopathy (gamma, beta, or both) | N,E | N,D | N | N | (M- spike) | (M- spike) | Oligoclonal bands | N | N,D | N,E | N,E | N | Oligoclonal banding | Bisalbuminemia | | Split peak | | | | | Hypoalbuminemia | N,D | D | N | N | N | N | N = Normal level E = Elevated D = Decreased N,E = Normal to Elevated N,D = Normal to Decreased D,N,E = Decreased to Normal to Elevated |